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Post-Operative Urinary Retention (POUR)

Original Article: file:///C:/Users/Leanne%20Howell/Downloads/0000542-200905000-00033.pdf

Anesthesiology 2009; 110:1139–57 Copyright © 2009, the American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc.

Postoperative Urinary Retention Anesthetic and Perioperative Considerations

Gabriele Baldini, M.D.,* Hema Bagry, M.D., F.R.C.A., F.R.C.P.C.,* Armen Aprikian, M.D., F.R.C.S.C.,† Franco Carli, M.D., M.Phil., F.R.C.A., F.R.C.P.C.‡

 

  • This is an informative article about Post-Operative Urinary Retention (POUR) which many surgical nurses will be all too familiar with!
  • It details the anatomy and physiology of the bladder and the mechanism of micturition (passing urine!)
  • How to diagnose POUR:
    • Clinical Examination
    • Ultrasound scan of the bladder
    • Bladder catheterisation
  • Factors that increase the likelihood of developing POUR:
    • Age and gender
    • Comorbidities
    • Anaesthetic medications
    • Intravenous fluids
    • Duration of surgery
    • Type of anaesthetic
  • Complications associated with POUR
    • Autonomic response
    • Infection
    • Bladder overdistension
  • Management of POUR
    • Looking at prevention and when to use catheterisation

 

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